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How to treat chronic sore throat in children and adults. Chronic tonsillitis: photos, symptoms and treatment in adults

Chronic tonsillitis is the most common infectious-allergic disease in otolaryngology. Among the population, the spread of the disease reaches 5-10% among children and 12-15% among adults.

Development and course pathological process has its own characteristics. Starting at childhood, the disease accompanies a person throughout his life. The disease can last from six months to 20 years from the time of suspected infection.

One of the treatment methods is cryotherapy. Herbal medicine is also used.

Development of pathology

Lacunar formations contain a diverse microflora (saprophytic and pathogenic) and multilayered epithelium. Stagnation leads to the proliferation of pathogenic agents and hyperplasia lymphoid tissue.

Chronic tonsillitis is the result of the action of a pathogenic source on the body (viruses, bacteria) and the response of defense mechanisms. The occurrence of the disease provokes disruptions in the functioning of the protective-adaptive complex of the lymphoid structure (tonsils), which in turn leads to the spread and worsening inflammatory process. Scar tissue forms and the self-cleaning mechanism of the tonsils is disrupted. The problem arises - how to cure the body and prevent the development of chronic intoxication.

The reactivity of defense mechanisms decreases with age, and the body's sensitivity to infections increases. The specificity of the course of the pathological process changes - asymptomatic and latent pathology, depletion of protective functions lead to relapses and transition from an acute form to a chronic disease.

There are compensated and decompensated chronic tonsillitis. In elderly people, the pathology is rarely recurrent, but the sign of chronic tonsillitis remains.

Structural and functional changes:

reduction of tonsils (by visual examination);
reduction in the number of almond follicles;
atrophy of lymphadenoid tissue and its replacement with connective tissue;
collapse and reduction of lacunar formations.

Still a reaction cellular immunity and the formation of cellular resistance occurs throughout life and is only partially lost.

Signs of chronic sore throat:

slight change in body temperature (up to 37.5°C) lasting from several weeks to 2-3 months;
acute tonsillitis, occurring twice a year or more;
general weakness, irritability, increased anxiety;
bad breath;
discomfort (dryness and tingling in the throat), soreness in the throat;
frequent separation of caseous plugs.

There is an increase submandibular lymph nodes. There is radiating pain in the ears, low-grade fever, periodic headache or migraine. Pharyngoscopy reveals diffuse (spread) inflammation of the pharynx mucosa with transition to the nasopharynx and larynx.

Treatment of chronic tonsillitis

How to get rid of chronic illness? The main principle in the fight against chronic tonsillitis should be strengthening the overall resistance of the body and local immunity lymphoid tissue. Before use antibacterial agents, especially in young people (children), it is necessary to analyze the feasibility of their use. Consultation with several qualified professionals would be warranted.

Chronic tonsillitis involves treatment with conservative and surgical methods. Recovery protective function tonsils directly depends on the chosen treatment tactics ( pharmacological drug) and the condition of the tonsils.

Surgical treatment

Surgical treatment in the form of tonsillectomy has lost its relevance, as it is not always effective. After its implementation, the level of immunoglobulin A decreases, the risk of developing viral infections and pneumonia. The indication for surgical intervention is an abscessed form of the disease with a recurrent course. Excluded operative method treatment in older people. In other cases it is recommended conservative treatment.

Conservative therapy is more effective in young people. The disease is difficult to treat with age. There is a late effect of treatment. After analyzing the course of the disease, assessing clinical picture, determine how to treat chronic sore throat. Successful on early stages local therapy using medicines antibacterial, anti-inflammatory and anesthetic effects (Orasept, Faringosept, Strepsils, Tonsilotren).

Chronic (streptococcal) sore throat treatment:

physiotherapeutic procedures (laser therapy, mud therapy, paraffin therapy - the area of the submandibular lymph nodes);
inhalation with infusions medicinal herbs(eucalyptus leaves) - carried out daily for 7 – 10 days;
treatment of tonsils - lubrication, washing of the crypts of the palatine tonsils (with antibiotic solutions, Lugol's solution, Lysobakt, 0.5% Dioxidin solution, infusion of celandine herb, aloe juice together with honey and rosehip syrup, plantain juice with lavender oil) - 10 procedures, every other day;
oral use of probiotics, antibiotics (macrolide group - Rovamycin), immunomodulators, medicinal and plant origin(Imudon, Tonsilgona N, tinctures of ginseng, golden root, eleutherococcus, lemongrass);
aerophytotherapy.

It is advisable to gargle after each meal to cleanse the tonsils and sanitize oral cavity.

One of the treatment methods is low-frequency ultrasound on lymphoid tissue, activating the general and local reactivity of the body, increasing vascular permeability. The "Tonsillor" apparatus is used, the number of sessions is 10 - 12. In this case, the lacunae are washed using antiseptic. An improvement in the condition and a decrease in the symptoms of chronic sore throat is observed after 5-6 sessions.

Ultrasound treatment of chronic sore throat is used:

For chronic nonspecific tonsillitis it is used ultrasonic cavitation(washing) of the palatine tonsils using a solution of Chlorhexidine and Lysobact (in the absence of gastrointestinal pathology).
For chronic sore throat of viral origin, a combination of Viferon and tonsil rinsing is used.
For cicatricial changes, ultraphonophoresis is used with Lugol's solution.

Important! The choice of medication is determined by a physiotherapist, taking into account the recommendations of an otolaryngologist, allergist, therapist, taking into account pharmacological properties drug and the course of the pathological process.

Cryotherapy of the tonsils according to Dorokhov can successfully get rid of chronic tonsillitis.

Conservative therapy using cryodestruction of the tonsils allows one to achieve a long period of remission and is considered optimal method treatment of chronic sore throat in older people. At the same time, sore throat and discomfort disappear, the feeling of a “lump” in the throat disappears, and the general state. The remission period takes 5-6 months, which is good indicator for a chronic process.

Cryotherapy according to Dorokhov is used as independent method treatment and as complex therapy. The procedure is carried out under local anesthesia. Exposure in the treatment of chronic sore throat is from 30 to 50 seconds. Cold treatment is painless, bloodless, easily tolerated by the sick person, does not require hospitalization and bed rest V rehabilitation period, promotes soft tissue regeneration.

Chronic (typical) tonsillitis, its symptoms and treatment of the disease are repeated due to the resumption of the inflammatory process after 6-10 months.
using herbal medicine and cryodestruction of the tonsils.

Prevention of chronic tonsillitis involves targeted action to strengthen the immune system, starting from a young age. If streptococcal tonsillitis occurs, it is necessary to apply adequate and timely treatment to prevent complications and the transition of the disease to a chronic form with the subsequent development of chronic tonsillitis.

Important! Convalescents (recovered) suffering from chronic tonsillitis, who have had tonsillitis more than twice a year, need to be observed at a dispensary 2 times a year.

Chronic sore throat occurs as a result frequent exacerbations ordinary sore throat. This occurs because infectious cells remain in the throat and tonsils. They continue to develop the inflammatory process and this leads to another exacerbation of sore throat.

Causes of chronic tonsillitis

When the tonsils do not have time to cope with their functions, streptococcal, staphylococcal, pneumococcal bacteria, as well as hemophilus influenzae and diphtheria bacillus, adeno and enteroviruses. Features of the structure of the palatine tonsils

The reasons for the development of chronic sore throat may be:

nasal breathing disorder. Typically, such problems occur in people who have a deviated nasal septum;
the presence of an inflammatory process in the respiratory system;
development of sinusitis, rhinitis in the patient;
the presence of caries and inflammation in the adenoids;
a sharp decrease in the activity of the immune system;
formation of polyps in respiratory system.

Chronic sore throat most often appears in children.

The reasons for the appearance of this disease in children are as follows:

living in unfavorable climatic conditions;
frequent hypothermia of the body;
eating large quantity fatty foods;
presence of caries in the oral cavity;
child development purulent sinusitis and rhinitis;
frequent occurrence of inflammation in the adenoid area;
a viral infection enters the patient's body.

Question from parents: “How is chronic tonsillitis transmitted?” If the disease appears in a child, it can easily be transmitted from him to the children around him, even in the absence of close contact.

The disease can occur not only if there are problems in the respiratory system. Factors in the development of chronic sore throat may be the presence of diseases in circulatory system, development systemic diseases, immunodeficiency and work with harmful conditions labor.

Symptoms

Question from patients: “What symptoms indicate the development of chronic tonsillitis in the body?”

Doctors identify several groups of these signs:

Availability pain in the throat area;
the appearance of redness and swelling on the tonsils;
education white or yellow plaque in the area of the tonsils;
presence of wheezing in the voice;
appearance discomfort when swallowing;
Availability unpleasant odor from the oral cavity;
frequent occurrence of sore throat;
the appearance of pain in the abdominal area;
Availability high temperature body, which can reach critical levels;
development chronic fatigue and increased fatigue;
the patient has excessive sweating;
stiffness of movements in the cervical region;
frequent occurrence of headaches, temporary or permanent.

The appearance of one of the above signs in a patient indicates that he should immediately visit his doctor.

Only he, based on the examination, tests and diagnostics, will be able to diagnose accurate diagnosis and carry out proper treatment.

In this video, Dr. Zaitsev talks about the symptoms of chronic tonsillitis:

Doctors distinguish 2 forms of chronic tonsillitis, each of which is characterized by the appearance of its typical symptoms:

Characterized by the appearance local signs development of disease in the tonsil area. In children, this stage is usually manifested by the presence of pain in the area ear canals, the formation of dryness and unpleasant odor from the oral cavity, constant feeling presence foreign body in the throat.
In the second form, the patient’s body temperature rises, fatigue often appears, there is no desire to work, appetite decreases or is completely absent, and pain in the head and joints often appears.

Diagnosis of chronic sore throat

Diagnosis is carried out by an otolaryngologist. The presence of the disease will be indicated by the following changes in the body:

Availability purulent plugs in the area of the tonsils;
a sharp increase or decrease in the size of the tonsils;
the appearance of looseness on the surface of the tonsils;
the presence of redness or swelling in the area of the palatine arches;
a sharp increase in the size of the cervical and submandibular lymph node.

Additional diagnostic methods is the use of electrocardiography, echocardiography, and giving patients urine and blood for analysis.

Treatment

So, we get to the question: “How to treat chronic sore throat?”

Initial treatment includes: gargling with a solution of Furacilin, Sodium Sulfacyl, potassium permanganate, Boric acid, Dioxidin, Iodinol, Interferon and Peloidin.

Interesting video: How to prepare Furacilin solution at home.

Vitamin therapy includes the use of vitamin B, PP, ascorbic acid, calcium gluconate, phytin and iron.

Physiotherapy

How to cure a sore throat using physiotherapeutic treatments? All methods are divided into the following categories:

bactericidal;
anti-inflammatory,
reparative-regenerative,
immunostimulating.

Bactericidal methods include: the use of CUV irradiation of the pharynx and tonsils.

Anti-inflammatory methods are aimed at using low-intensity UHF therapy, endonasal electrophoresis with interferon, SMV therapy, red laser therapy and infrared laser therapy.

Reparative and regenerative methods include the use medicinal electrophoresis with calcium, zinc, sulfur, as well as infrared laser therapy of the tonsil area and ultraphonophoresis with hydrocortisone.

Immunostimulating therapy includes inhalations using immunomodulators, SUV irradiation in suberythemal doses, LOC, HF magnetic therapy aimed at the thymus region.

During treatment, the patient should adhere to the following simple rules:

eat warm liquid food;
drink more fluids.

Additional treatments for the disease

If the prescribed treatment does not give the desired effect, then specialists use the following methods of influence:

lacunotomy;
cryotherapy;
galvanocaustics;
diathermocoagulation.

Drug treatment of chronic sore throat

If chronic tonsillitis is bacterial in nature, then in this case the patient is prescribed antibiotic substances. Penicillin, cephalosporin and macrolide antibiotics are commonly used:

When using antibiotics, the patient must be prescribed medications that restore intestinal microflora:

Linux;
Bifidum.

As antiseptics are used:

Miramistin;
Chlorhexidine;
Furacilin.

To increase the activity of the immune system, the following are used:

Levamisole;
Interferon;
Lysozyme;
Imudon.

Devices such as Tonzillor are used to cleanse the tonsil cavity.

ethnoscience

Patients often ask: “Is it possible to cure chronic sore throat using traditional methods?” Doctors say that in this case it is usually used:

Gargling with a warm mixture:

with chamomile,
salt and soda,
apple cider vinegar.

And inhalations are also used over a container of boiling water, in which 1 spoon of propolis should be diluted.

It is important to remember that these methods do not help get rid of chronic sore throat, they are only aimed at reducing the impact negative symptoms diseases.

Surgical intervention

“How to get rid of a sore throat once and for all?”

One of the most effective methods To get rid of chronic sore throat is to remove the tonsils. This operation is called tonsillectomy. Patients should not be afraid of it, as it is performed using local anesthetics.
The whole procedure takes no more than 30 minutes.

This procedure is absolutely safe for the patient and does not require any careful preparation from him. Its advantages are that cured tonsillitis will not return again.

Possible complications

It is important to remember that the absence timely treatment The disease can lead to the development of complications dangerous to human health:

formation of paratonsillitis;
the appearance of a tonsillar abscess;
presence of irregularities in work internal organs;
development of rheumatism;
presence of heart disease;
development of heart failure;
the appearance of arthritis and inflammation in blood vessels;
development of glomerulonephritis;
a sharp increase in blood pressure;
the appearance of edema;
development of chronic renal failure;
formation of sepsis;
development of psoriasis, thyrotoxicosis;
eczema formation.

Thus, the appearance of chronic sore throat is a very common phenomenon that must be treated. The disease can be completely cured, but for this the patient should consult a doctor as soon as the first unpleasant signs appear. This will also help to avoid the development of complications and diseases dangerous to human health. In conclusion, Dr. Phil wants to summarize the question: “How to treat chronic tonsillitis.”

This disease is also called chronic tonsillitis. Protracted infectious and inflammatory disease of the tonsils, or tonsils.
The development of chronic tonsillitis is caused by an acute form of the disease, which does not result in final recovery.
One of the reasons frequent illnesses tonsillitis - weak immunity.

Drug treatment of chronic sore throat should be prescribed by a doctor depending on the type of disease after general analysis blood.
Typically used:

Antibiotics (penicillins, cephalosporins)
Antiseptics (chlorhexidine, potassium permanganate (potassium permanganate), etc.)
Immunostimulants
Physiotherapy

The following simple but effective folk remedies are successfully used in the treatment of chronic sore throat:

Recipes from the newspaper Vestnik ZOZH.

First, let's look at mild and safe, but effective folk remedies that can be used to treat chronic sore throat in adults and children. Below we will describe more extreme folk remedies that are suitable only for adults, but their effectiveness is noticeably higher.

Gentle folk remedies for sore throats for children.

One of the most available methods- “lion pose.”
If your throat hurts and it hurts to swallow, the lion pose will quickly help. The essence of the method is that you need to stick out your tongue with tension and pronounce the sound “a-a”. It is advisable for the face to turn red. This folk method should be used at the first symptoms of the disease, then the disease will not begin.
Using this remedy, the woman stopped getting sick, although before that the disease visited her very often. (HLS 2000, No. 14, p. 12). Lion pose can cure sore throat in 1 day (HLS 2004, No. 23, p. 11).

Treatment of sore throat with cloves is a simple folk remedy.

Infuse 5 g of cloves in 200 g of cognac for 2 weeks. 2 times a day, drop 4 drops onto each tonsil. Dilute the infusion with water 1:1. Course – 7 days. Using this recipe, the whole family was cured. (HLS 2001, No. 7, p. 20)
Pour 10 pcs. cloves with a glass of boiling water, leave. You will get an infusion Brown. Gargle a sore throat. This remedy will also relieve a runny nose and adenoids: instill 2 drops of infusion into the nose 5-7 times a day (Healthy Lifestyle 2002, No. 22, p. 18) (Healthy Lifestyle 2003, No. 11, p. 24)

Kalanchoe.
You can simply chew the leaves (Healthy Lifestyle 2000, No. 24, p. 6, Healthy Lifestyle 2010, No. 3, pp. 30-31), or even better, gargle with Kalanchoe juice. (HLS 2001, No. 9, p. 21)
At the first sign of illness, sore throat, chew 3-5 Kalanchoe leaves. (HLS 2004, No. 2, p. 25)

These methods are simple and accessible, but will successfully help cure chronic sore throat:

At the first signs of the disease, chew cellular honey.
Gargle with calendula tincture diluted with water.
Chew the spice clove.
Make a compress on the throat from whole cabbage leaves, securing it with a scarf on top, changing the leaves every 2 hours.
Gargle with beetroot juice.
Drink 1 tbsp. l. onion juice 2 times a day, make a compress on the throat from the onion extracts at night. (HLS 2003, No. 23, p. 26)

Lugol.
If a child is often sick, then this remedy will help get rid of problems: 1 tsp. alcohol 70%, 1 tsp. Lugol's solution, 1 tsp. glycerin. Mix everything immediately before treating the tonsils, treat with a cotton swab soaked in Lugol's solution for 3 days in a row. (HLS 2006, No. 2, p. 32)

Sea kale.
Soak dry seaweed for 5-7 minutes, put in gauze and make a compress on a sore throat. This folk remedy for sore throat also helps with joint pain and inflammation of the lymph nodes (HLS 2006, No. 17, pp. 32-33).

Horseradish.
Grate the horseradish root. Pour 1 part grated horseradish into 3 parts warm water, leave for 20 minutes, strain, gargle throughout the day. To treat sore throat in children, make the infusion less concentrated, about 1:10. (HLS 2008, No. 11 p. 31)

Green tea.
Brew three bags of green tea in a half-liter jar of boiling water, gargle with the infusion for 3-4 days. (HLS 2009, No. 6 p. 30)

Fir oil.
Buy at the pharmacy fir oil, add 2-3 drops per 100 g of water to gargling water. Gargle a sore throat with a sore throat 4-5 times a day. (HLS 2010, No. 1, p. 8)

Sea buckthorn oil.
Chronic sore throat can be quickly cured by lubricating the throat sea buckthorn oil and drink this oil 1-2 tsp. 3-4 times a day. (HLS 2010, No. 7, p. 9)

Folk remedies for sore throat for adults.

Tincture of calendula.

The woman fell ill with ulcerative-purulent sore throat, the doctor prescribed medication, but instead drug treatment, she began to use a folk remedy - rinsing with undiluted calendula tincture. She took a tablespoon of tincture into her mouth and held it against her tonsils, without swallowing, for as long as possible. Two days later, at a follow-up appointment, my throat was clear. Calendula tincture is made as follows: pour 1 glass of dried flowers with two glasses of vodka, leave for 10 days (Healthy Lifestyle 2000, No. 17, p. 19).
Rinsing with calendula tincture diluted with water also helps in the treatment of follicular sore throat (HLS 2001, No. 18, pp. 19-20).

Lemon

Scald 1 lemon with boiling water and eat it completely; if you have a sore throat, it will seem fresh. The temperature will immediately drop and the sore throat will stop. For 14 years, the man was sick very often, and after using this remedy just once, he forgot about the disease forever. (HLS 2003, No. 17, p. 26)
Another similar recipe is to squeeze the juice from one lemon and drink it without washing it down with anything. After 8-10 hours, repeat the procedure. And then do the same with the third lemon - after this the sore throat will completely go away. (HLS 2005, No. 5, p. 29).
Another case: a man was constantly sick, he was advised to eat 20 lemons along with the peel for treatment, he ate a lemon every day, and since then he has never gotten sick. (HLS 2006, No. 24, p. 10).

Shell tincture pine nuts.
Fill a half-liter jar almost to the top with pine nut shells, pour in a glass of vodka, leave for 3 weeks in a dark place, strain. If your throat hurts, you need to gargle it with this undiluted tincture, you can swallow it slowly. Gargle 3-4 times in the morning the pain will go away. (HLS 2005, No. 9, p. 27)

Kerosene helped cure chronic sore throat forever.
The woman was sick for many years, several times a year. Once again she fell ill with a temperature of 39.2 degrees, and in the morning she absolutely had to go to work. I decided to undergo extreme treatment folk remedies to be cured by morning for sure. She gargled with vodka (it was very painful), and then lubricated her tonsils with kerosene liberally (she had to swallow kerosene, she had nausea and chills). After that, she went to bed and slept like the dead; in the morning the temperature was 36.6 degrees. After such treatment, she never fell ill with this disease again. (HLS 2006, No. 7, p. 10)

How to properly treat a sore throat with propolis and honey.
You need to mix 1 tsp before going to bed. alcohol tincture propolis and 1 tsp. honey Eat this mixture in small portions, slowly dissolving. The course is 10 days, then a week break and another course. After such treatment, it was possible to avoid surgery to remove the tonsils (HLS 2006, No. 15, p. 31).

Vodka with sugar.
Take 100 g of vodka and 4 pieces of refined sugar. It is more convenient to prepare the medicine together. Pour vodka into an iron mug or bowl, put sugar on a fork and, holding it over the vodka, set it on fire with a splinter. The burning syrup will drip into the vodka and it may catch fire. It must be extinguished immediately, covering the mug with a saucer. Immediately gargle the sore throat with the resulting mixture and slowly swallow 2-3 sips. Wrap a warm scarf around your neck and go to bed. In the morning pain in the throat will go away. (HLS 2007, No. 3, p. 30)

Not fully treated acute tonsillitis often leads to the fact that an infectious pathogen remains in the lymphoid tissue of the throat and tonsils. The development of this microorganism increases under the influence of any unfavorable stimulus and then the sore throat worsens again.

Frequent relapses of tonsillitis indicate that a person has chronic tonsillitis - a disease that requires treatment both during the stage of relapse of the disease and outside periods of exacerbation.

Causes and signs of chronic sore throat

The main cause of chronic tonsillitis is considered to be acute tonsillitis. In addition to this reason, other factors may influence the development of the chronic form of the disease:

Presence of foci of infection in neighboring organs– caries, adenoids, sinusitis, rhinitis.
Disruption of normal nasal breathing, which often develops due to a deviated nasal septum, proliferation of polyps
Decreased functioning of the immune system.

With prolonged chronic tonsillitis, the tonsils lose their main ability to resist infection. Chronic tonsillitis is the main cause of frequent pharyngitis, bronchitis and many diseases of internal organs, the most dangerous of which include rheumatism, endocarditis, and systemic lupus erythematosus. Under the influence of a constant source of infection, heart defects can develop, gastric organs suffer - intestinal tract. That is, a seemingly harmless disease can cause a lot of troubles that a person will have to struggle with for the rest of his life.

Exacerbations of chronic tonsillitis occur up to several times a year; in weakened people, this process can be observed every month. With an exacerbation of the disease, tonsillitis can manifest itself with all the symptoms that often accompany acute tonsillitis, these are:

Pain and discomfort in the throat.
Increased body temperature.
Sore throat also affects the appearance of symptoms of intoxication.
The appearance of plaque on the tonsils.
Enlargement of the submandibular lymph nodes.

But at the same time, especially for adult patients, angina may not manifest itself during a relapse clear signs. A slight deterioration in health, mild pain when swallowing goes away within a few days and sometimes even without drug treatment. But this does not mean that the infection has left the body; on the contrary, it continues to develop, causing damage to health.

Outside the acute stage, chronic tonsillitis is manifested by bad breath and periodic weakness. Children with tonsillitis constantly develop colds. Upon examination, the doctor sees that the tonsils look swollen, their tissues become loose, and the palatine sacs are thickened. Chronic lacunar tonsillitis is characterized by the constant presence of plugs in the lacunae with a special secretion and an extremely unpleasant odor.

How and how to treat chronic tonsillitis?

It is recommended to treat chronic sore throat only under the guidance of a doctor. Treatment is divided into conservative and surgical interventions. During therapy, it is necessary not only to restore the function of the tonsils themselves, but also to get rid of other foci of infection in the body. Sore throat in chronic stage It is treated not only by an ENT doctor, but also by a therapist and dentist.

Conservative treatment is carried out using special techniques and medications:

Rinsing the lacunae with aseptic solutions is necessary to remove plugs and all pathogens. Washing lacunae in modern medicine Most often it is carried out with the “Tonsillor” device, with which you can also inject medicinal solutions. The medicine is administered using an ultrasonic nozzle, which ensures its spraying throughout the submucosal layer.
Laser therapy can reduce swelling and inflammation in the tonsils.
UFO - that is, ultrasonic irradiation is considered the oldest, but at the same time effective way sanitation of chronic foci of infection. Ural irradiation not only destroys bacteria, but also increases blood supply and nutrition in the treated area, which affects the rapid regeneration of cells.

All these procedures are carried out in courses consisting of 5-15 sessions. In order to achieve maximum therapeutic effect and avoid surgical intervention Conservative treatment should be carried out several times a year.

It is necessary to treat chronic tonsillitis and medicines. Drug therapy should be aimed at eliminating the infection and restoring the functioning of the immune system. Based on this, the doctor prescribes:

Antibiotics. In case of chronic tonsillitis, it is necessary to conduct a bacterial culture of microflora taken from the tonsils. Only on the basis of these tests will the doctor be able to select effective antibiotic. Antibacterial treatment is always prescribed for severe exacerbations of the disease, and during the period of remission it should be carried out until the pathogen of the disease completely disappears. Among the antibiotics used are Sumamed, Cefazolin,
When treating with antibiotics, it is important to also use a course of probiotics. These medications will help restore the intestinal microflora, which has a positive effect on the general state of the immune system. A course of Linex and Bifidum is prescribed.
During an exacerbation, it is necessary to use gargling solutions, such as Miramistin, Dioxidin. Use inhalation sprays and dissolving tablets.
Immunostimulating therapy is always necessary during treatment chronic infections. To increase local immunity in the oral cavity, the drug Imudon is indicated.

Chronic sore throat often requires surgical intervention, which consists of partial or complete removal tonsils Doctors often prefer to treat tonsillitis using the EHF method - this method removes the inflamed tissue and reduces the size of the lacunae, while the main function of the tonsils is preserved.

Chronic sore throat is a disease infectious nature, which periodically appears in the tonsils. Happening this process because every time harmful microbes When certain conditions arise, the process of growth and reproduction begins. Medical therapy often carried out at home. It is believed that sore throat is a contagious disease, therefore, during exacerbation, it can be transmitted to other people.

The tonsils are paired structures that are located in the pharynx between the palatine arches. They resemble an oval consisting of lymphoid tissues. The tonsils perform a protective function.

Chronic sore throat develops for the following reasons.

Ingress of streptococci, staphylococci, pneumococci, Haemophilus influenzae.
Weakening of immune function.
The presence of infectious diseases. These include sinusitis, caries, adenoids, and rhinitis.
Presence of polyps.
Untreated acute tonsillitis.

Chronic tonsillitis does not occur just like that. It develops as a result of acute tonsillitis. Experts believe that if a patient suffers from a disease more than five times a year, then he has chronic form. Often this phenomenon occurs due to an interrupted treatment process. Any sore throat caused by bacteria is treated with antibacterial agents. But patients stop taking antibiotics on the third or fourth day, as a noticeable improvement occurs. But such a decision is wrong. The thing is that the bacteria are not completely eliminated, their activity is simply reduced. But if the drug is abruptly discontinued, they become immune to the antibiotic that the patient was taking. Doctors recommend carrying out the treatment process for at least five days.

It is also worth noting that chronic tonsillitis occurs not only as a result of microbial activity, but also due to the presence of other diseases in the form of blood diseases, systemic diseases, immunodeficiency, and work in hazardous industries.

Symptoms of chronic sore throat

Chronic tonsillitis, in comparison with acute tonsillitis, is characterized by a protracted course and mild manifestation of symptoms. The main signs of the disease are considered to be the following.

A painful sensation in the larynx that occurs from time to time and differs in the degree of manifestation.
Discomfort when swallowing food or saliva, as well as when talking.
The occurrence of an unpleasant odor from the mouth.
Frequent relapses of the disease, which occur more than three times a year.
A slight increase in temperature to 37-38 degrees.
The presence of chronic fatigue.
Increased sweating.

It is worth noting that other symptoms may occur with chronic sore throat. To accurately determine the diagnosis, you need to see a doctor and undergo an examination.

Diagnosis of chronic sore throat

To cure the disease, you need to contact experienced specialist. Based on complaints and accompanying symptoms, the doctor will examine the oral cavity. During the examination, the doctor may detect redness and swelling of the tonsil tissue and the formation of plaque, which already indicates the presence of a sore throat. Also when chronic course the following changes are observed.

The presence of purulent plugs in the throat.
Loose surface of the tonsils.
Education adhesive process between the tonsils and palatine arches.
Increase lymph nodes under lower jaw in the neck area.

After this, the following examination will be prescribed.

Donating blood for general and biochemical analysis.
Taking a smear from the tonsil tissue to determine the pathogen and its susceptibility to antibiotics.
Electrocardiography.
Echocardiography.
Carrying out an X-ray examination chest area and paranasal sinuses.
Submission of urine for general analysis.

The process of treating chronic sore throat

Many patients, upon learning the diagnosis, ask how to treat chronic tonsillitis. In practice, there are four treatment methods.

Surgical intervention.
Drug therapy.
Treatment with folk remedies.
Conservative treatment.

If the patient has chronic tonsillitis, treatment mainly consists of using medications. The patient is prescribed the following.

Reception antibacterial drugs, which are included in the group of penicillins, macrolides or cephalosporins. The long-term treatment course ranges from five to ten days.
The use of antiseptics in the form of Miramistin, Chlorhexidine, Collargol.
Taking immunostimulating drugs in the form of Levamisole, Interferon and Lysozyme.
The use of physiotherapy in the form of UVS, quartz and magnetic therapy.
The use of absorbable tablets with an anesthetic in the form of Grammidin or Strepsils.
Taking probiotics in the form of Linex or Bifidum.
Gargling with furatsilin solution up to six times a day.

If drug therapy does not produce results, the patient is recommended to undergo one of the following operations.

Hardware treatment. This method means pumping out pus or plaque from the lacunae of the tonsils. After this, a special medicine is poured into the resulting voids.
Laser treatment. With the help of this procedure, swelling of the throat is reduced and the inflammatory process in the tonsils is reduced.
Ultraviolet irradiation. This treatment method is proven and effective. It makes it possible to carry out sanitation, destroy harmful microbes, speed up the healing process, increase nutrition and blood supply to the treated area.

All of the above procedures are carried out from five to fifteen times.

It is possible to carry out surgical intervention, which involves removing part of the tonsils. They resort to it in a situation where other methods of treating chronic sore throat are absolutely powerless. In practice, the operation is called tonsillectomy. It is carried out under the influence of anesthetics. The duration of the procedure ranges from half an hour to two hours. It all depends on how many adhesions and adhesions have formed. At first glance, it seems that the operation is difficult and scary, but it is well tolerated by all patients. Recovery period passes quickly enough and without complications.

Treatment with traditional methods for chronic sore throat

Often together with drug therapy resort to traditional methods. Treatment process is as follows.

In gargling various solutions from Furacilin, soda and salt, apple cider vinegar.
In gargling with infusions of medicinal herbs. Often, decoctions are prepared from wormwood, eucalyptus, plantain, sage and chamomile.
In making compresses on a vodka or vegetable basis.
In carrying out inhalations with the addition essential oils or soda with iodine.
In drinking milk with honey. This method allows you to reduce painful sensations due to enveloping the mucous membrane of the larynx.

Since the reason for the development of chronic sore throat lies not only in external factors, but also in the internal ones, the patient should carry out full examination body.
For chronic tonsillitis to go away, several important conditions must be met.

Conduct bed and drinking regime. Liquid removes all microbes from the body, and rest does not allow bacteria to spread throughout the body.
Ventilate the room as often as possible and humidify the air in it.
Avoid hypothermia outdoors, which means dress appropriately for the weather conditions.
Strengthen immune system. Take vitamin and mineral supplements, carry out hardening procedures and do physical exercises.
Accept quality food. You should avoid eating sweets, reduce sugar intake, and give up fatty, spicy and smoked foods.

Complications of chronic sore throat

Unfortunately, poorly treated sore throat can lead to the proliferation of bacteria in other human organs. With the development of a latent inflammatory process, neighboring tissues of the larynx begin to suffer from paratonsillitis and tonsillar abscess. If these two phenomena occur, the patient requires urgent surgical intervention.
Other complications also appear.

Rheumatism.
Arthritis.
Glomerulonephritis.

Chronic tonsillitis requires timely consultation with a doctor and mandatory treatment.